Helicobacter pylori Breath Test
Test Mnemonic
HPYLBR
CPT Codes
- 83013 - QTY (1)
LOINC ®
29892-7
Aliases
- H pylori Breath Test, Pediatric (3-17 years of age)
- H pylori Breath Test, Adult (>= 18 years of age)
Includes
- H pylori Breath Test
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| N/A | See note | Ambient | Ambient | Submit one baseline (blue) and one post dose (gray) breath sample bag. |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | 14 days |
| Refrigerated | Unacceptable |
| Frozen | Unacceptable |
Days Performed
Mon - Sat
Turnaround Time
1 - 3 days
Methodology
| Name | Description |
|---|---|
| Spectrophotometry (S) |
Special Info
Collection of breath samples should be performed by trained healthcare personnel only. Per instructions in collection kit. Phenylketonurics: Contains Phenylalanine Hypersensitivity: Patients who are hypersensitive to mannitol, citric acid, or Aspartame should avoid taking the drug solution as the drug solution contains these ingredients. Risk of Aspiration: Use with caution in patients with difficulty in swallowing or who may be at high risk for aspiration due to medical or physical conditions. Pregnancy/Lactation: The safety of the BreathTek UBT kit during pregnancy and lactation is not established. If particulate matter is visible in the reconstituted Pranactin-Citric solution after thorough mixing, the solution should not be used. Fast at least 1 hour prior to administering the BreathTek UBT. Patient should not have taken antibiotics, proton pump inhibitors or bismuth preparations within 2 weeks prior to administrating the BreathTek UBT. The effect of histamine 2-receptor antagonists may reduce urease activity on urea breath tests. They may be discontinued for 24-48 hours before the BreathTek UBT. Do not use any straw other than the straw provided in the kit. If repeat testing is needed, BreathTek UBT can be administered the following day. The UBT kits must be stored per package insert. Do not use past the stated expiration date. Additional kits can be obtained by contacting the Immunopathology lab at 216-444-9033.
Clinical Info
A negative result does not rule out the possibility of H. pylori infection. If clinical signs are suggestive of H. pylori infection, retest with a new sample or an alternate method. Despite very high specificity, false positive results may occur due to other gastric organisms such as H. heilmanni as well as in patients with hypo- or achlorhydria. Despite very high sensitivity, false negative results may occur in patients who have received antibiotics, proton pump inhibitors, or bismuth preparations. Clinical correlation is required.
Clinical Limitation
This test is only for patients age 3 years and older.